MEDICARE: DR. ASEF MALEKI DC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111NR0400X	Rehabilitation Chiropractor	14651	TX

General Provider Information

NPI Number	:	1265024343
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ASEF MALEKI DC

Provider Business Mailing Address
First Line	:	3330 N GALLOWAY AVE STE 324
Second Line	:
City	:	MESQUITE
State	:	TX
Zip	:	75150-4767
Country	:	US
Telephone Number	:	214-239-2185
Fax Number	:	214-239-2189

Provider Business Practice Location Address
First Line	:	3330 N GALLOWAY AVE STE 324
Second Line	:
City	:	MESQUITE
State	:	TX
Zip	:	75150-4767
Country	:	US
Telephone Number	:	214-239-2185
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/09/2021
Last Update Date	:	02/09/2021

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